Organization Active NPI

James K. Yan, D.O., Medical Office Inc.

  • Gastroenterology Physician
  • San Francisco, CA
National Provider Identifier
1609032283
Registry record updated Aug 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20A6238 Issued in CA
Legal business name
JAMES K. YAN, D.O., MEDICAL OFFICE INC.
Practice address
728 Pacific Ave
Suite 305
San Francisco, CA 94133-4457
Phone
(415) 781-1818
NPI assigned
Aug 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James K. Yan, D.O.NPI 1588683890
Title
Physician/Ceo
Phone
(415) 781-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 20A6238 CA Primary

Addresses

Primary practice location

728 Pacific Ave
Suite 305
San Francisco, CA 94133-4457

Mailing address

728 Pacific Ave
Suite 305
San Francisco, CA 94133-4457
Phone (415) 781-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090324000011 CA Part B Supplier - Clinic/Group Practice 3678639432 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0940491James K Yan, DO Medical Office, Inc728 Pacific Avenue, Suite 305, San Francisco, CA 94133Certificate of waiverFeb 10, 2028

National Provider Directory

National Provider Directory

Locations

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

728 Pacific Ave
Ste 3
San Francisco, CA 94133
Phone (415) 781-1818

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217635200000",
    "number": "1609032283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE",
            "address_2": "SUITE 305",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334457",
            "telephone_number": "415-781-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE",
            "address_2": "SUITE 305",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334457",
            "telephone_number": "415-781-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K. YAN, D.O., MEDICAL OFFICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-02",
        "last_updated": "2008-08-02",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "415-781-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "20A6238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.